Complaint Investigation Report

019201182-6-21-2024-15-AS-BFOG-D7GU7P-20240724152013

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

E BAY DELTA AC/SC , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/19/2024 and conducted by Evaluator Lori Alexander-Washington

COMPLAINT CONTROL NUMBER: 15-AS-20240619101457

Staff did not get the proper permits for renovation in the facility

On this day, 06/21/2024, at 2:00 p.m., Licensing Program Analyst (LPA) L. Alexander arrived unannounced to investigate the above allegation. LPA met with Wellness Nurse, Tsering Palmo, and informed the reason for visit. Executive Director, Kirsten Korfhage, arrived shortly later.

Allegation: Staff did not get the proper permits for renovation in the facility Substantiated

On 06/21/2024, LPA tour the facility kitchen with S2 and observed new commercial kitchen equipment and gas lines moved. S2 stated that the kitchen equipment was being replaced and that the work of deep cleaning the area and installing the new gas lines should be completed by Saturday 06/22/2024. S1 stated that they were informed by Pacifica that the project was equipment replacement and that no permit is required. LPA spoke with W1 with City of Oakland Inspections and Code Enforcement Services and they informed LPA that a permit it required with the removing and changing of gas lines with equipment replacement.

The preponderance of the evidence standard has been met, and the allegation is SUBSTANTIATED.

Deficiency is cited under the California Health and Safety Code listed on LIC9099-D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted with ED. Appeal Rights and a copy of this report.